Horses are stoic prey animals whose pain is often misinterpreted as behavioral problems rather than recognized and treated as medical conditions.
Pain misattributed to behavioral problems is punished rather than treated, compounding suffering. Lameness causing chronic pain is normalized as part of working horse life. Back pain in ridden horses causes aversion to work and rein contact that is often interpreted as naughtiness. Gastric ulcers cause chronic discomfort during work and feeding. Performance pressure prevents early retirement of horses with chronic painful conditions.